Individual provider Active NPI

Sanjay Razdan, RPH

  • Pharmacist
  • Atlanta, GA
National Provider Identifier
1699217893
Registry record updated May 27, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
PharmacistTaxonomy code 183500000X
License
RPH017876 Issued in GA
Practice address
3635 E Paces Cir NE
Unit 1414
Atlanta, GA 30326-7811
Phone
(678) 316-0957
NPI assigned
Nov 6, 2016
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 27, 2020

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pharmacist 183500000X PS27750 FL
Pharmacist 183500000X RPH017876 GA Primary

Addresses

Primary practice location

3635 E Paces Cir NE
Unit 1414
Atlanta, GA 30326-7811

Mailing address

3635 E Paces Cir NE
Unit 1414
Atlanta, GA 30326-7811
Phone (404) 395-1771

Other names 1

  • Sanjay Razdan Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Registered Pharmacist

State licenses

LicenseStateTypeSpecialty
PS27750FLMDPharmacist
RPH017876GAMDPharmacist

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1478390400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1590537600000",
    "number": "1699217893",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3635 E PACES CIR NE",
            "address_2": "UNIT 1414",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303267811",
            "telephone_number": "404-395-1771"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3635 E PACES CIR NE",
            "address_2": "UNIT 1414",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303267811",
            "telephone_number": "678-316-0957"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RAZDAN",
        "first_name": "SANJAY",
        "name_prefix": "Mr.",
        "credential": "RPH",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2016-11-06",
        "last_updated": "2020-05-27",
        "certification_date": "2020-05-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "FL",
            "license": "PS27750",
            "primary": false
        },
        {
            "code": "183500000X",
            "taxonomy_group": "",
            "desc": "Pharmacist",
            "state": "GA",
            "license": "RPH017876",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SANJAY",
            "last_name": "RAZDAN",
            "credential": "RPH",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Atlanta, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 27, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.